ALICIA KATHLEEN FAWSON APRN, DNP, PMHNP-BC
NPI 1003749391
Nurse Practitioner - Psychiatric/Mental Health in Taylorsville, UT
Active since June 05, 2026
About Alicia Kathleen Fawson Aprn, Dnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA KATHLEEN FAWSON APRN, DNP, PMHNP-BC (NPI 1003749391) is an individual psychiatric/mental health provider in Taylorsville, Utah, licensed in Utah (349702-3102) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1003749391
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALICIA KATHLEEN FAWSONCredential: APRN, DNP, PMHNP-BC
Location Address5770 S 1500 WTaylorsville, UT 84123-5216
Mailing Address2797 W 2050 SWest Haven, UT 84401-2101 · (406) 694-5494
Phone(385) 478-2000
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1003749391 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 349702-3102
5770 S 1500 W, Taylorsville, UT 84123
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003749391, enumerated as an "individual" on June 05, 2026.
The provider is located at 5770 S 1500 W TAYLORSVILLE, UT 84123 and the phone number is (385) 478-2000.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
